Provider Demographics
NPI:1023405867
Name:SARAH NEITZEL, DPM, PLLC
Entity type:Organization
Organization Name:SARAH NEITZEL, DPM, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NEITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:360-286-0404
Mailing Address - Street 1:2416 NW MYHRE RD
Mailing Address - Street 2:SUITE 160
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383
Mailing Address - Country:US
Mailing Address - Phone:360-286-0404
Mailing Address - Fax:360-859-0333
Practice Address - Street 1:2416 NW MYHRE RD
Practice Address - Street 2:SUITE 160
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383
Practice Address - Country:US
Practice Address - Phone:360-286-0404
Practice Address - Fax:360-859-0333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-20
Last Update Date:2022-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty